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PENINSULA PHARMACY
NPI 1679618474
Home Infusion in Marquette, MI

Active since February 20, 2007
1414 W FAIR AVE, SUITE 133, MARQUETTE, MI 49855(906) 225-3902(906) 226-2661 Get Directions Write a Review

NPPES record last updated: November 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 16, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Peninsula Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PENINSULA PHARMACY (NPI 1679618474) is a healthcare organization registered as a home infusion in Marquette, Michigan and active in the NPI registry since February 2007. The organization lists Kent L Jenema, Director Of Pharmacy Operations, as its authorized official.

NPPES Registry Identity

NPI1679618474
Entity TypeOrganization
Primary Taxonomy251F00000X
Legal Business NamePENINSULA PHARMACY INC
Location Address1414 W FAIR AVE, SUITE 133Marquette, MI 49855-2675
Mailing Address1414 W Fair Ave, Suite 133Marquette, MI 49855-2675 · (906) 225-3902 · Fax (906) 226-2661
Phone(906) 225-3902
Fax(906) 226-2661
Organization SubpartNo
Authorized OfficialKent L JenemaDirector Of Pharmacy Operations · (906) 225-3902
Enumeration DateFebruary 20, 2007
Last NPPES UpdateNovember 16, 20222 updates tracked since enumeration
NPPES CertifiedNovember 16, 2022
✔ NPI 1679618474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome InfusionAgencies
Taxonomy Code251F00000X
License✔ Licensed in MI · 5301006679
1414 W FAIR AVE, Marquette, MI 49855
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Other Names 1

Doing Business AsPeninsula Pharmacy

Other Identifiers 1

Other470E21056MI · Bcbs-mi Hit

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. KIRK W MATTHEWS LMSW
Social Worker (Clinical)
1414 W FAIR AVE
MARQUETTE, MI 49855
Marquette County (906) 774-3300
MR. STEVEN M GUALDONI PAC
Physician Assistant
1414 W FAIR AVE, STE 332
MARQUETTE, MI 49855
Marquette County (906) 225-3922
PENINSULA PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
1414 W FAIR AVE, SUITE 133
MARQUETTE, MI 49855
Marquette County (906) 225-3902
BOBBY Z JOSEPH M.D.
Allergy & Immunology
1414 W FAIR AVE, SUITE 216
MARQUETTE, MI 49855
Marquette County (906) 225-4725
NATHAN SAMUEL TAYLOR MD
Plastic Surgery (Surgery of the Hand)
1414 W FAIR AVE, SUITE 190
MARQUETTE, MI 49855
Marquette County (906) 225-1321
DR. PUSHPAMAL NAYANANGA SAMARARATNE MD
Student in an Organized Health Care Education/Training Program
1414 W FAIR AVE, SUITE 24
MARQUETTE, MI 49855
Marquette County (906) 225-3864
RODNEY RIESLAND NP
Nurse Practitioner (Primary Care)
1414 W FAIR AVE, STE 344
MARQUETTE, MI 49855
Marquette County (906) 225-3910
MANSOUR MIKY M.D.
Physical Medicine & Rehabilitation
1414 W FAIR AVE, SUITE 204
MARQUETTE, MI 49855
Marquette County (906) 225-7740

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peninsula Pharmacy Inc's NPI number?

The NPI number for Peninsula Pharmacy Inc is 1679618474. It was assigned to this organization in the NPPES registry on February 20, 2007. The provider is doing business as Peninsula Pharmacy.

Where is Peninsula Pharmacy Inc located?

Peninsula Pharmacy Inc is located at 1414 W Fair Ave Suite 133, Marquette, MI 49855. The listed phone number is (906) 225-3902.

What is Peninsula Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Home Infusion with taxonomy code 251F00000X.

When was this NPI record last updated?

The NPPES record for Peninsula Pharmacy Inc was last updated on November 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.